OSCEs Parlamentariske Forsamling 2013-14
OSCE Alm.del Bilag 29
Offentligt
Short-Term Observer Registration FormPresidential Election in Ukraine, 25 May 2014Registration Date:(dd.mm.yy)
PERSONAL INFORMATION(Please answer each section clearly, completely andFamily Name:First Name:Nationality:Passport Number:Passport Type:First Name &Surname:Mobile:Email:Diplomatic/Regular/Service
use only English transcription)
Date of Birth:(dd.mm.yy)Mobile in the field:(country code +number)
Email:Languages:E-day Interpretation:ENG –RUS –FR –SP–IT-GER
CONTACT PERSON(Indicate contact details for the person in charge of practical arrangements for your participation)
TRAVEL INFORMATIONArrival Date:(dd.mm.yy)Arrival Time:(hh:mm)Arrival Flight:TRANSPORTATIONTo/From the AirportOSCE
Departure Date:(dd.mm.yy)Departure Time:(hh:mm)Departure Flight:EmbassyOwnArrangements
DEPLOYMENT ON ELECTION DAYPreference of Deployment Partner:(if any)Car on Election DayInterpretation on ElectionDayOSCEOSCEEmbassyEmbassyOwnArrangementsOwnArrangements
PREFERENCE FOR DEPLOYMENT LOCATIONKyiv cityWillingness to travel by car outside Kyiv city (up to 60 minutes)Willingness to overnight outside Kyiv(The International Secretariat will provide suggestions based on requirementsand security situation)
Please return this form together with a passport copy byMonday 5 May 2014toMs. Iryna Sabashuk OSCE PA Secretariat tel: +45 33 37 80 47 fax +45 33 37 80 30
OSCE PA
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